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    OpenPayerNPI Medicare & MedicaidPatricia Matheis
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    Patricia Matheis — Billing Profile & Reimbursement Data

    NPI 1740385061 · Wake Forest, NC · Specialist

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    Patricia Matheis is a specialist provider located in Wake Forest, North Carolina. This profile covers 36 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPatricia Matheis
    Address2824 Rogers Rd
    CityWake Forest
    StateNC
    ZIP27587
    TaxonomySpecialist
    NPI EnumeratedSeptember 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$985.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11302The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the skin of the trunk, arms, or legs.1,550$70$111.5K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.400$280$110.9K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.290$280$80.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…580$120$70.8K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…110$560$59.6K
    11312The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.540$100$54.8K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.100$520$53K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…800$60$49.7K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.1,440$30$47.5K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…170$260$44.5K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1402011020$520$20.1K
    14060187030$560$19.5K
    13132139060$210$19K
    1404014020$540$16.8K
    992142,45318,060110$80$15.1K
    1312119050$230$13.6K
    J730857030$300$12.2K
    1310114020$270$10.6K
    17110372730100$70$9.8K
    17000295790190$30$9K

    Showing 1–10 of 36

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Patricia Matheis, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cedar MaloneNCDermatology Physician$1.1M$0
    Christopher CookNCDermatology Physician$683.7K$0
    Rene BermudezNCMOHS-Micrographic Surgery Physician$460.6K$0
    Jonathan OlsonNCMOHS-Micrographic Surgery Physician$391.5K$0
    William KetchamNCMOHS-Micrographic Surgery Physician$364.7K$0
    Gregory WilmothNCMOHS-Micrographic Surgery Physician$330.2K$0
    Jessica MccaskillNCPhysician Assistant$158.7K$0
    Audrey EchtNCMOHS-Micrographic Surgery Physician$156.3K$0
    Andrew GhassemianNCDermatology Physician$152.8K$0
    Denise MastromonacoNJDermatology Physician$143.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Patricia Matheis, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radeas LLCNCClinical Medical Laboratory$6.5M$34.3M
    Wake Forest Pediatric Associates, PLLCNCPediatrics Physician$0$9.8M
    Amazing Kids Of Nc, Inc.NCCommunity/Behavioral Health Agency$0$7.5M
    Trg Health Care Systems LLCNCCommunity/Behavioral Health Agency$0$7.1M
    Elias AyliNCMOHS-Micrographic Surgery Physician$1.1M$0
    Edward GaliczynskiNCDermatology Physician$1M$0
    Francisco CastillosNCHematology & Oncology Physician$534K$0
    Duke University Health System IncNCDiagnostic Radiology Physician$150.8K$14.1K
    Daniel HenryNCPhysical Therapist$157.9K$0
    Samantha WardNCOptometrist$112.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Patricia Matheis — 18 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina